公开(公告)号：US20090137900A1

公开(公告)日：2009-05-28

申请号：US12362658

申请日：2009-01-30

申请人： Mathew D. Bonner ,  Cynthia T. Clague ,  Scott E. Jahns ,  James R. Keogh

发明人： Mathew D. Bonner ,  Cynthia T. Clague ,  Scott E. Jahns ,  James R. Keogh

IPC分类号： A61B5/05

CPC分类号： A61B5/06 ,  A61B5/062 ,  A61B2017/00022 ,  A61B2017/00243 ,  A61B2017/00252 ,  A61B2017/22001 ,  A61B2090/061

摘要： Methods and apparatus employed to locate body vessels and occlusions in body vessels finding particular utility in cardiac surgery, particularly minimally invasive cardiac surgery to locate cardiac arteries and occlusions in cardiac arteries are disclosed. An elongated vessel lumen probe incorporating a lumen probe element at or near the elongated vessel lumen probe distal end is advanced into the vessel lumen. A vessel surface probe manipulated by the surgeon and having a surface probe element sensor is employed to detect the lumen probe element and to follow the progress of the vessel lumen probe element as it approaches and is advanced through or is blocked by an occlusion. In the location of a coronary artery, the surface probe element sensor is moved about against the epicardium over the suspected location of the artery of interest until a surface probe element sensor of the present invention at the surface probe distal end interacts with the lumen probe element of the vessel lumen probe.

摘要翻译： 公开了用于定位身体血管和身体血管闭塞的方法和装置，其在心脏手术中特别有用，特别是在心脏动脉中定位心脏动脉和闭塞的微创心脏手术。 在细长血管腔探针末端处或其附近并入管腔探针元件的细长血管腔探针被推入血管内腔。 由外科医生操作并具有表面探针元件传感器的血管表面探针被用于检测内窥镜元件，并且随着血管腔探针元件的进入而进入并被阻塞阻塞。 在冠状动脉的位置，表面探针元件传感器在目标动脉的疑似位置上靠近心外膜移动，直到本发明的表面探针元件传感器在表面探针远端与内腔探针元件相互作用 的血管腔探针。

公开(公告)号：US06280433B1

公开(公告)日：2001-08-28

申请号：US09392715

申请日：1999-09-09

申请人： Michael E. McIvor ,  Kenneth C. Gardeski ,  Pedro A. Meregotte ,  Mathew D. Bonner ,  Timothy G. Laske ,  Linda L. Lach

发明人： Michael E. McIvor ,  Kenneth C. Gardeski ,  Pedro A. Meregotte ,  Mathew D. Bonner ,  Timothy G. Laske ,  Linda L. Lach

IPC分类号： A61M2500

CPC分类号： A61M25/0668 ,  A61M25/01 ,  A61M2025/0675

摘要： An introducer or guide catheter for directing an implantable medical device such as a lead or catheter to a desired location within a patient's body. In one embodiment of the invention, the introducer comprises a two-lumen tube. A first lumen is configured to receive the implantable medical device that is to be introduced. A second lumen is provided to receive an insertable, elongated guiding member such as a stylet, which may be shapable in various orientations, and which may be used to alter the configuration of the introducer. The second lumen may be provided with an internal coil or other tubular reinforcement member to prevent perforation of this lumen by the guiding member when the introducer is in the patient's body. In order to facilitate removal of the introducer over an implantable medical device having a connector or fitting that is larger than the internal diameter of the first lumen, the introducer may be adapted to be slit or split along its length. In some embodiments of the invention, the introducer may be rendered splittable by provision of a weakened zone along its length. According to yet another aspect of the invention, the introducer may be provided with a luer lock at its proximal end to facilitate connection of the introducer to a hemostasis valve, t-fitting, or the like.

摘要翻译： 导引器或引导导管，用于将诸如引线或导管的可植入医疗装置引导到患者体内的期望位置。 在本发明的一个实施例中，导引器包括两腔管。 第一管腔被配置为接收待引入的可植入医疗装置。 提供第二内腔以接收可插入的细长引导构件，例如探针，其可以以各种取向成形，并且其可以用于改变导引器的构造。 第二内腔可以设置有内部线圈或其他管状加强构件，以在导引器位于患者体内时防止引导构件对该内腔穿孔。 为了便于在具有大于第一内腔的内径的连接器或配件的可植入医疗装置上移除导引器，导引器可以适于沿着其长度被切割或分开。 在本发明的一些实施例中，导引器可以通过沿着其长度提供弱化区域而被分解。 根据本发明的另一方面，导引器在其近端可以设置有鲁尔锁，以便于将导引器连接到止血阀，t形配件等。